- Schizophrenia research and treatment
- Posttraumatic Stress Disorder Research
- Migration, Health and Trauma
- Resilience and Mental Health
- Bipolar Disorder and Treatment
- Mental Health and Psychiatry
- Child and Adolescent Psychosocial and Emotional Development
- Disaster Response and Management
- Family Caregiving in Mental Illness
- Mental Health Treatment and Access
- Substance Abuse Treatment and Outcomes
- Traumatic Brain Injury Research
- Child Abuse and Trauma
- Mental Health Research Topics
- Obsessive-Compulsive Spectrum Disorders
- Psychosomatic Disorders and Their Treatments
- Digital Mental Health Interventions
- Musculoskeletal pain and rehabilitation
- Tryptophan and brain disorders
- Adolescent and Pediatric Healthcare
- Family Support in Illness
- Family and Patient Care in Intensive Care Units
- Impact of Technology on Adolescents
- Trauma and Emergency Care Studies
- Alcoholism and Thiamine Deficiency
The University of Melbourne
2011-2020
Mental Health Australia
2009-2020
Centenary Institute
2019
Parks Victoria
2013
Orygen Youth Health
2005-2008
Orygen
2006-2007
Australian Psychological Society
2007
St. Vincent's Birmingham
2006
Objective: Studies investigating the impact of comorbid substance use disorders (SUD) in psychosis have tended to focus on cross‐sectional data, with few studies examining effects course clinical outcome. The main aim present study was assess baseline SUD and remission positive symptoms. Method: Early Psychosis Prevention Intervention Centre admitted 786 first‐episode (FEP) patients between 1998 2000. Data outcome were collected from patients’ medical records (MR) 643 who met inclusion...
Interpersonal trauma and violence is currently considered a global public health emergency. However, studies have not differentiated between intimate interpersonal nonintimate in their impact on posttraumatic stress disorder (PTSD) symptomatology. This cross-sectional study based epidemiologic data examined the differential likelihoods of endorsing PTSD symptoms following 3 categories trauma: noninterpersonal (eg, accidents, natural disasters), (physical assaults perpetrated by...
Article AbstractContext: Injury is one of the leading contributors to global burden disease. The factors that drive long-term disability after injury are poorly understood.Objective: main aim study was model direct and indirect pathways injury. Specifically, relationships between 3 groups variables were examined over time. These included physical (including characteristics premorbid disability), pain severity at 1 week 12 months), psychiatric symptoms history posttraumatic stress,...
Well-designed prospective studies of substance misuse in first-episode psychosis can improve our understanding the risks associated with comorbid and psychosis.To examine potential effects on in-patient admission remission relapse positive symptoms psychosis.The study was a 15-month follow-up investigation 103 patients recruited from three mental health services.Substance independently increased risk admission, shorter time to after controlling for confounding factors. Substance not or...
Article AbstractObjective: Patients with first-episode psychosis are responsive to acute-phase treatments, but relapse rates high. This study aimed evaluate the effectiveness of a psychosocial treatment designed prevent second episode compared standardized early care.Method: In randomized controlled trial, conducted at Early Psychosis Prevention and Intervention Centre Barwon Health, Australia, multimodal individual family cognitive-behavioral therapy for prevention was case management...
International clinical practice guidelines for the management of psychological trauma recommend Psychological First Aid (PFA) as an early intervention survivors potentially traumatic events. These recommendations are consensus-based, and there is little published evidence assessing effectiveness PFA. This not surprising given nature complicating factors involved in any evaluation There is, nevertheless, urgent need stronger evaluating its effectiveness. The current paper posits that...
Article AbstractObjective: We have previously reported that our combined individual and family cognitive-behavioral therapy (CBT) relapse prevention (RPT) was effective in reducing rates compared to treatment as usual (TAU) within a specialist program for young, first-episode psychosis patients who had reached remission on positive symptoms. Here, we report the outcomes participants of DSM-IV-diagnosed recruited between November 2003 May 2005 over 2.5-year follow-up period. The primary...
To investigate whether severity of substance use disorder is independently associated with 15-month symptomatic or functional outcome in young individuals first-episode psychosis.Ninety-two aged 15 to 30 years psychosis participated a prospective follow-up study. DSM-IV criteria were used diagnose psychotic disorders, and DSM-III-R (abuse dependence). Measures included positive negative symptoms, quality life, level social functioning. Data collected between March July 2001 at specialist...
Little research has focused on delineating the specific predictors of emotional over-involvement (EOI) and critical comments (CC) in early course psychosis. The purpose this study was to investigate differential relationships EOI CC with relevant relatives first-episode psychosis (FEP) patients.Baseline patient-related factors including psychotic symptoms, depression duration untreated (DUP) carer attributes comprising CC, EOI, burden care carers' stress were assessed a cohort 63 remitted...
The effectiveness of a novel 7-month psychosocial treatment designed to prevent the second episode psychosis was evaluated in randomized controlled trial at 2 specialist first-episode (FEP) programs. An individual and family cognitive behavior therapy for relapse prevention compared with FEP care. Forty-one patients were (RPT) 40 Participants assessed on an array measures baseline, 7- (end therapy), 12-, 18-, 24-, 30-month follow-up. At 12-month follow-up, rate significantly lower condition...
To investigate the patterns and predictors of substance use disorders (SUD) daily tobacco in first-episode psychosis (FEP).In this study, consecutive admissions 126 patients with an initial presentation for FEP were recruited from three psychiatric services. Each patient was assessed a comprehensive assessment package order to collect demographic information, diagnose psychotic SUD, estimate duration untreated assess premorbid functioning severity symptoms.The rates lifetime SUD 71% 77%,...
Objective: To investigate predictors of adherence with a cognitive-behavioural intervention in first-episode psychosis (FEP) patients. Method: Predictors to therapy (CBT) were longitudinally investigated the experimental arm randomized controlled trial designed evaluate effectiveness CBT for relapse prevention early course when compared treatment as usual within 2 high quality, youth oriented, specialist FEP programs (the EPISODE II trial). Results: Longer duration untreated (DUP) and poorer...
Few studies have investigated the relationship between received social support (actual help received) and posttraumatic growth (PTG), these focused only on quantity of received. This study examined joint implications both quality postdisaster for PTG. Data were collected from Lushan earthquake (China, in 2013) survivors at 7 (n = 199) 31 161) months after earthquake. The main effects support, interaction quality, using hierarchical multiple regression analyses controlling extent disaster...
The first aim of this study was to examine the rate, pattern and correlates inpatient admission during 3 months treatment for first-episode psychosis (FEP). second determine whether period associated with remission psychotic symptoms or service use at 15-month follow-up.One hundred four consecutive patients FEP a specialist were approached participate in follow-up study. Patients grouped on basis (none, one, multiple) treatment. Clinical ratings baseline 3-month follow-up, available...
Here we report the results of a pilot study investigating relative and combined effects 12 week course clozapine CBT in first-episode psychosis patients with prominent ongoing positive symptoms following their initial treatment. Patients from our early service who met inclusion criteria () were randomized to one four treatment groups: clozapine, plus CBT, thioridazine, or thioridazine CBT. The degree psychopathology functionality all participants was measured at baseline then again 6, 24...
Skills for Psychological Recovery (SPR) is a brief skills-based approach to assist community members better cope after disaster or other tragedy. This paper reports on an evaluation of large SPR training and support program following floods cyclones in Queensland, Australia. The sought recruit, train competent trainers; provide systematic high-quality skills practitioners; improve the confidence number practitioners use SPR; encourage practitioners' with members. Trainers recruited...